In This Issue | SEPTEMBER 2023 |
To the Members of the Greater Washington Society for Clinical Social Work,
Welcome to the Fall of 2023, I hope you had a great Summer!
I want to thank everyone for their continued support of the Society. The second of many Membership Town Halls was held on August 5, at which time the Society’s Needs Assessment was presented and discussed. The second half of the Town Hall provided an opportunity for participants to discuss and process thoughts and emotions surrounding the events leading to the resignation of the then President as well as any resulting fall out. I want to extend another thank you to Melanie Hood, our DEI consultant, for her skillful facilitation of our Town Hall which enabled and maintained a safe space for an open and honest conversation. As the Society moves forward from the events of last Fall, I encourage anyone still having thoughts and concerns to feel free to contact me. I will be happy to talk about any and all concerns.
There are many member events planned for the Fall. I look forward to seeing everyone at the Membership Cocktail Party to be held on September 10, at Pinstripes in Bethesda. Be sure to register and attend. The 2023 Legislation & Advocacy Brunch will be held on September 9, at Maggiano"s Little Italy. Come and learn about how each of us can help to facilitate the passage of the Interstate Social Work Licensing Compact. The Education Committee has planned several interesting workshops for the upcoming Fall, including Healing Racial Trauma, A Buddhist Approach to Psychotherapy, and The Ethics of Intimacy: The Cost of Care Without Caring. Please check our website for upcoming educational programming. Members are encouraged to contact the Education Committee with any suggestions, or if they are interested in presenting a workshop. .
As always, the Society continues our mission to advance the field of social work, including:
- Furthering the cause of Social Justice and Anti-Racism
- Access to our vibrant listserv
- Sponsoring continuing education events
- Continuing our legislation and advocacy work
- Offering our mentorship program
- Providing low-cost therapy for MSW students.
I continue to welcome and encourage your feedback. What would make the Society more inviting and appealing to you? Of course, not every suggestion can be enacted, but I believe helpful information will emerge from your feedback. What would be helpful? What would be enjoyable?
As I end this note, I would like us all to remember our mission as social workers, and the benefits we provide to our clients and others with our knowledge and humanity. I would also ask that we remember this in responding to our colleagues and their inquiries and comments.
As always, I want to continue to foster a feeling of connection and the sense that this is a Society for everyone.
Thank you for your support of me and the Society!
Karla Abney, GWSCSW President
Legislation & Advocacy | National
Laura Groshong, LICSW, CSWA Director of Policy and Practice
Comments on the CMS Proposed Rule on Physician Fee Schedule
{CSWA submitted comments to CMS on the Proposed Rule for the 2024 Physician Fee Schedule. The 2013-page Rule was a challenge but has many positive items for LICSWs. Here are the comments~ LWG}
The Clinical Social Work Association (CSWA) is submitting the following comments on the Centers for Medicare and Medicaid Services (CMS) Proposed Rule regarding CY 2024 Medicare payments under the Physician Fee Schedule (PFS) and other Part B Payment Policies (CMS-1784–P).
- Thank you for increasing the RVU values for clinical social workers in the proposed rule over the next four years. The psychotherapy services provided by Licensed Clinical Social Workers (LCSWs) has long been undervalued yet the work we do is represented by the same CPT codes as those provided by psychologists and psychiatrists. CSWA welcomes the addition of more mental health clinicians, in general as Medicare providers as there is a shortage of mental health services in much of the country.
- One section of the proposed rule will significantly interfere with the ability of LCSWs to provide psychotherapy services: the 2025 requirement that all clinicians see patients in person every six to twelve months. The use of telehealth has been a significant factor in giving people who need psychotherapy access to mental health services. This means that patients may be anywhere in a state in which the LCSW is licensed. Though the execution of this rule has been delayed, to require that a patient be seen in person every six or twelve months would be a very difficult hardship for patients and LCSWs, notably for those living in rural locations.
- CSWA has anecdotal evidence that telemental health is a valid delivery system for psychotherapy services and has outcomes that are equal to in-person treatment for most conditions, such as anxiety (https://www.psychiatry.org/News-room/APA-Blogs/Expanding-Mental-Health-Uses-for-Virtual-Reality) and depression (https://www.verywellmind.com/online-therapy-for-depression-4842904). Please consider eliminating the in-person requirement for patients being seen virtually, which corresponds with the CMS interest in seeking to expand mental health services. CSWA would be happy to discuss ways to determine which conditions are not appropriate for telemental health, i.e., certain schizophrenia spectrum disorders.
Below are several welcome additions to the proposed rule:
- The ability of LCSWs to use HBAI codes is very consistent with the DSM-5-TR codes we already use.
- The proposed inclusion of independent psychotherapy services by LCSWs in skilled nursing facilities under Medicare Part A is one long sought by CSWA.
- Finally, the addition of a code for Community Health integration to give LCSWs the opportunity to provide for the social needs of patients, i.e., shelter, income, physical health, daily needs, etc., is a needed addition.
Thank you for the opportunity to submit these comments.
Legislation & Advocacy | DC
Adele Natter, Chair, DC Legislation and Advocacy Committee
The DC license renewal period ended on July 31, 2023. There are 6,464 social workers of various license levels – of which 4,714 are LICSWs. As many will recall, there was a flurry of controversy on the GWSCSW list serve regarding possible delays in license approvals due to the Board of Social Work needing to complete background checks on all applicants. A grassroots effort led by several Society members helped to stave off what could have been an emergency situation – for both licensees and employers – and to ensure that applicants received their licenses prior to the deadline. While many will agree that the threat of having your license delayed or denied due to an administrative logjam does not seem ethical, we are all reminded to get our renewals done early in order to avoid any concerns. During the Board of Social Work meeting of July 24, 2023, Board members reiterated how often and in what ways—including email, website and on social media -- the Board had alerted social workers to licensing renewal requirements. All social workers are welcome to attend the monthly Board meetings – it’s a great way to stay informed, get to know our Board members and lobby for various interests. There’s no Board meeting in August; check the website for upcoming meeting dates.
For our next licensing cycle – August 1, 2023 through July 31, 2025 – we are required to complete 28 of the total 40 CEUs either in person or during live interactive webinars. It remains to be seen how many of our CEU providers will begin to host actual in person trainings. Luckily, live webinars are being counted as “in person.”
Recommendations have been made to the Board for a number (unspecified) of group supervision hours to be counted towards licensure; the Board is reportedly reviewing this matter but has not yet come to a decision. Footnote: it is not persuasive to let them know that other jurisdictions such as Maryland and Virginia already count group hours towards licensure. DC doesn’t take kindly to being compared to our counterparts across the bridge or down the road!
The DC Legislative and Advocacy (L&A) Committee has been focused on lobbying for the Social Work Interstate Compact. To that end, Adele Natter and Anthony Hain met with the legislative assistant to the Committee on Health; other committee members have written to various Council members. Laura Groshong, chair of the Clinical Social Work Association, has provided bullet points to use in our lobbying efforts (see the CSWA website HERE) along with emails sent to GWSCSW from Laura. At the most recent CSWA town hall on August 15, 2023, the point was made that DC is unlikely to join the Compact due to there being a severe financial cost in doing so because so many social workers who practice in DC do not live there. All social workers are also welcome to attend CSWA’s monthly town halls which provide an opportunity to meet, share with and learn from social workers all over the country. Please see the CSWA website for information. Please note that although there are some issues that may make it harder or us to achieve our goals regarding DC joining the Interstate Compact, the DC L&A Committee is still working with members on the DC City Council to help them understand the benefit the Compact brings to military spouses. Those who may be stationed elsewhere temporarily could not continue to practice without either having DC join the Compact, or going through the onerous process of applying Social Work Licenses at their temporary assignments. If you are licensed in DC and interested in helping to advocate for this, please contact Adele Natter (telladelelicsw@gmail.com).
The Board of Social Work also did not speak favorably about the Compact during the July meeting. While this may be a grave disappointment to many of us, taking the revenue hit into account does make some sense. At the same time, the BOSW indicated that they are exploring an alternate idea of forming some kind of reciprocal agreement with MD and VA; this will require legislation so won’t happen overnight.
Finally, another bill: DC B259, the Social Work License Modernization Amendment Act of 2023, is already before the Council. This bill would eliminate the exam requirement at the BSW and LGSW levels with the hope of increasing the number of social workers in the workforce which is sorely understaffed. Many social service agencies are unable to hire enough workers, since many are prohibited from being considered since they have not passed the licensing exam. Several MSWs spoke about their personal struggles at one of the recent BOSW meetings, attesting to their years of experience in the field and commitment to the profession while at the same time encountering difficulties with the exam. One of the exam writers usually attends the CSWA town halls, providing an opportunity to hear from someone “on the ground,” working to make the exam process more inclusive and equitable for all. Everyone is encouraged to pay attention, stay engaged and do even one small thing to help move these important efforts forward.
Summary prepared by Adele Natter, with editorial assistance from Gina Sangster.
Adele Natter, LICSW, Co-Chairs the GWSCSW Legislation & Advocacy Committee for DC.. Adele has been an active participant on the Committee for the past four years; she represented GWSCSW on a Board of Social Work sub-committee, which included NASW and CSWA representatives. Adele maintains a private practice focused on helping individuals with anger and emotional regulation issues. She is also a Clinical Instructor in the Psychiatry Residency Program of the George Washington University Medical School. She holds a BA in Psychology from UCLA and received her MSW from the University of Maryland.
Legislation & Advocacy | Maryland
Judy Gallant, Chair, MD Legislation and Advocacy Committee
This report is based, in part, on the multi-page summary of this year’s legislative session from our lobbyists, Pam Metz Kasemeyer, JD and Christine Krone.
As promised, this is a final wrap-up of the bills that came before the MD 2023 Legislature that had the potential to impact our profession and our clients. See the reports in the March and June newsletters for many other bills considered by your Legislation and Advocacy Committee and our lobbyists.
Senate Bill 581 (passed) established the Behavioral Health Value-Based Purchasing Pilot Program, which will pilot person-centered, team-based services designed to assess and meet the needs of behavioral health clients needing to navigate the health-care system. $600,000 in mandated funding for the pilot must be included in the budget for each of the Fiscal Years 2025-2027.
Senate Bill 263/House Bill 573 (passed) establishes an Advisory Committee to study and make recommendations regarding access to mental health services on higher education campuses. The Committee will report its findings to the General Assembly by 12/1/23.
Senate Bill 154 (passed) requires the Department of Health to implement a public awareness campaign to encourage the use of Mental Health Advance Directives in Maryland. The goal is to identify how first responders and behavioral health crisis providers can access an advance directives database when responding to a behavioral health crisis.
Unfortunately, both House Bill 1070, which would have permitted LCSW-Cs to serve as Expert Witnesses, and House Bill 694, which would have permitted LCSW-Cs to be certified by the MD BSWE to register as a rehabilitation practitioner and perform specified services for workers’ compensation purposes, both either failed to pass out of committee (HB 1070) or never received a hearing in the senate (HB 694). Look for similar bills to be introduced in the 2024 Legislative Session.
House Bill 103/Senate Bill 145 (passed) authorizes the MD BSWE to issue a temporary license lasting no more than 180 days if a required exam was unavailable to the applicant for at least 15 days. The applicant must have already met all educational and experience requirements.
THE INTERSECTION OF SOCIAL JUSTICE AND LEGISLATION AND ADVOCACY
The MD Department of Health is working to identify individuals to serve on a legislatively-mandated “Workgroup on Black, Latino, Asian American Pacific Islander and Other Underrepresented Behavioral Health Professionals.” This group was established by HB 97 in 2022 and its effective date was extended one year by HB 615 this past session.
The Workgroup shall:
- identify and study the shortage of behavioral health professionals in the State who are Black, Latino, Asian American Pacific Islander, or otherwise underrepresented in the behavioral health profession; and
- assess and make recommendations on incentives or other methods to increase the number of underrepresented minorities.
This is not a bill that the GWSCSW was specifically requested to appoint someone to serve on the Workgroup; however, they are still actively seeking people to serve in three seats that have not yet been filled. Two seats require a representative from an organization, network or association of behavioral health professionals. The third seat needs a representative from a hospital network that primarily serves underrepresented communities.
This is an opportunity to be involved in representing our Society while addressing a social justice issue. Please let Judy Gallant know (judy.gallant@verizon.net) if you are interested in serving on this workgroup.
Judy Gallant, LCSW-C, is the director of the Society’s Legislation & Advocacy program, as well as chair of the Maryland Clinical Social Work Coalition, our GWSCSW legislative committee in Maryland. She maintains a private practice in Silver Spring.
Pamela Metz Kasemeyer, JD, as well as the firm of Schwartz, Metz & Wise, PA, represent us in Annapolis and guide our advocacy strategy. Specifically, we have also had the able assistance of Christine Krone during this legislative session. Ms. Kasemeyer is an acknowledged authority on Maryland’s health care and environmental laws and has represented a variety of interests before the Maryland General Assembly and regulatory agencies for more than 25 years.
Legislation & Advocacy | Virginia
Wayne Martin, Co-Chair, VA Legislation and Advocacy Committee Co-Chair
Since securing the services of Mark Smith as the new lobbyist for the GWSCSW and the VSCSW, all has been quiet this summer. Of MOST importance is that all 140 seats of the Virginia General Assembly (GA) will be up for vote this November 7th - election day. Virginia is one of the few states to hold statewide elections in this “off year.”
The composition of the GA will determine the type of legislation to be proposed. It will decide how pro-active or re-active the GWSCSW and the VSCSW will need to be during the legislative session. Our number one priority is the Social Work Interstate Compact. The interstate compact must pass the Virginia General Assembly and be signed by the Governor to become law. It is a totally political process. This will mean that members of the GWSCW who live (and vote in) Virginia will need to become politically active. We will need to contact - or better yet - visit our representatives (delegates or senators) and urge their support for the Compact bill. There are resources available that more fully explain the Compact and you can access the complete text of the compact from there. CSWA has developed some materials that will help with lobbying and can be accessed here. Members of the General Assembly can be most impacted by hearing from you the difference the Compact will make to the citizens of Virginia, your clients, and to our profession.
What would be helpful - now- is to be active in the campaign of your chosen candidate for office in your House or Senate district. That is the best way to encourage their support later on. There is no substitute for political involvement DURING a campaign and before the election. Once the composition of the Legislature is known - which party is in charge of the House of Delegates and the Senate - we will be better able to strategize and assess the situation.
The Virginia Legislative & Advocacy Committee of GWSCSW does NEED volunteers. There is a strong need for 2-3 individuals who live (and practice) in Northern Virginia to be part of this committee. Please contact L&A Branch Director Judy Gallant (judy.gallant@verizon.net) and VA L&A Committee Chair Wayne Martin (wamnoles@aol.com) if you are interested.
EDUCATION BRANCH REPORT
Lynn Grodzki, LCSW-C, Education Branch Director | Ed Geraty, Education Committee Chair
Our CEU offerings are an important membership benefit. CEU fees are very reasonable and range from $25 per credit hour for full members to free for MSW students. Our speakers include internal presenters from our own membership, who speak on their areas of expertise as well as external speakers that we invite to share topics that our members have requested. At this time, we are sponsoring Zoom presentations only.
During the past six months, our CEU webinars have included the following well-received presentations:
- For Therapists Only: Experiential workshop on foundational sex/intimacy concepts
- Making Peace with Making Money: Reconciling service, profit and other therapy-based financial challenges
- The Enneagram in your Practice: A guide for therapists
- GWSCSW History Presentation: Our living history shared by those who created it
- Menopause: Toward wellness and transformation
- Working with High Conflict Couples
- New Approaches to Working with Men in Psychotherapy: The impact of men’s hidden fears of women in intimate relationships
- Psychotherapy in Black & White: Anti black racism in black client/white therapist dyads
- A Framework for Thinking Ethically
Our exciting, upcoming Zoom workshops for Fall 2023 include the following:
Healing Racial Trauma: Supporting our clients, liberating ourselves and understanding how and why racial trauma lives inside all of us with Candace Oglesby, Saturday, October 7, 2023
Part 1 of an ongoing anti-oppressive lecture series exclusive for GWSCSW. Our speaker for this workshop, Candace Oglesby, LCPC, has spent her career providing direct mental health services to marginalized communities and then helping organizations address racism and oppression within their leadership capacities, to transform themselves and become more equitable and diverse. This workshop has been designed exclusively by our speaker for GWSCSW, to provide to our wider therapeutic community.
Also see the following upcoming Fall/Winter Zoom workshops including:
- A Buddhist Approach to Psychotherapy with Ed Geraty, Sunday Oct 8, 2023
- The Ethics of Intimacy: The Cost of Care without Caring with Avrum Weiss, November 3, 2023
- A Time for Moral Courage: Ethical obligations and resilience strategies for therapists in the face of overwork, burnout, moral distress, or disheartenment (6 Ethics CEUs) with Frederic Reamer, January 26, 2024
See more of the Fall workshops we have listed and register for our CEU workshops here: https://gwscsw.org/events-calendar)
CEU Presenters wanted!
We welcome members to submit proposals to present CEU topics and we offer an honorarium. We take all the work out of hosting a zoom presentation: we do the marketing, registration, and set up the zoom call and breakout rooms. Our audiences are welcoming and appreciative.
Please share your areas of expertise with our membership.
CLICK HERE to submit a proposalIf you have any questions, please contact Donna Dietz, GWSCSW Administrator: admin@gwscsw.org
Legislation & Advocacy BRANCH REPORT
Judy Gallant, Chair, MD Legislation and Advocacy Committee
In July, leadership asked for your opinion about whether our L&A branch should proceed with advocating for the Social Work Interstate Compact. The answer was a resounding “Yes!” For those of you who offered to help, I am very grateful. Information is on the way, via our L&A brunch, and subsequent listserv postings. I’d like to encourage everyone to come to our in-person Legislation & Advocacy Brunch on Saturday, September 9, 10 am-1pm, at Maggiano’s Little Italy in Chevy Chase, DC (just a block from the Red Line Friendship Heights Metro stop, and underground parking is available). You will have the opportunity to hear from our lobbyists, jurisdictional committee chairs, and CSWA Director of Policy and Practice, Laura Groshong, while enjoying frittatas, muffins and pastries, fresh fruit, yogurt and fruit parfaits. You will learn more about what you can do to help achieve this important goal of getting the Compact passed in DC, Maryland, and Virginia. We will be focused on the Social Work Interstate Compact and ways to engage lawmakers and get their support. You will leave with a full understanding of how the Compact will work, receive helpful handouts, and have your questions answered. If you are unable to attend, please email me in advance with any questions you would like answered. We are looking into ways to record the meeting, but we can’t guarantee we’ll be able to do so. If successful, we will post it to our website shortly afterwards. Also, I will send more information and the handouts via the list serve to those who can’t attend. If you are able to assist, we will need 2-3 volunteers to help with directing people to the event room and with the sign-in and distribution of handouts. Please email me directly (judy.gallant@verizon.net) if you are able to help. Registration is a free benefit to our members, but you must register to attend! FYI, here are links to find your state or DC representatives' contact information, as well as talking points for discussing the Compact with lawmakers, etc.:
- You can find your Maryland State representatives here.
- DC Council Members are listed at this link.
- Here’s how to contact your Virginia State representatives.
- Useful information developed by Laura Groshong is on the CSWA website.
As always, thank you for your interest. I look forward to seeing many of you at Maggiano’s on September 9th!
See individual jurisdiction articles for the current updates. Be sure to contact one of us with any questions or suggestions you might have, or to join one of the committees: in DC, Adele Natter, anatter@verizon.net; in Maryland, Judy Gallant, judy.gallant@verizon.net; and in Virginia, Wayne Martin, wamnoles@aol.com. We look forward to hearing from you.
social justice branch Report
Rachel Keller, Social Justice Branch Director
GWSCSW Community Communications Workgroup - July 2023
One response to the Needs Assessment report is the development of a Community Communications Workgroup (CCW). Our DEI Consultant, Melanie Hood-Wilson, along with the Social Justice Branch director, Rachel Keller have formed an adhoc group composed of members of the GWSCSW. If you are interested in participating, please contact Rachel@AliveIntimacy.com. The CCW will meet no fewer than four times, starting in July 2023 to develop guidelines, research online forums, and propose organizational policy regarding community communication and conversation.
The goals of the workgroup are as follows:
- Determine a proposed set of community expectations around communication
- Determine the criteria for specific trainings for listserv moderators to better understand effective communication across generational, gender, racial, and other lines.
- Determine the criteria for specific trainings for membership to better understand effective communication across generational, gender, racial, and other lines.
- Develop strategies for communication options that meet diverse needs and abilities. This includes:
- Forms of media used
- Frequency of communication
- Accessibility of communication to professionals with disabilities.
History of the Social Justice Branch, as of August 2023
https://www.gwscsw.org/socialjustice-announcements/13246896
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In October of 2022, the Board created the Social Justice Branch (SJB) to continue the work started by The Anti-Racism Task Force (ART) and expand its focus to include issues of importance to our members, including social justice, anti-racism, and LGBTQ+ concerns.
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In October of 2022, ART began facilitating a discussion group for the Executive Committee on the book White Fragility: Why It’s So Hard For White People To Talk About Race? By Robin DiAngelo. The book group was continued by the SJB and was completed in June of 2023.
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In October of 2022, the Branch began the search and interviewing process for a Diversity, Equity, and Inclusion (DEI) consultant.
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In January of 2023, the board voted to hire Melanie Hood-Wilson & Associates (MHWA) for phase one of work on a DEI plan.
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In April of 2023, GWSCSW hosted a Town Hall meeting, open to all members, facilitated by MHWA. Members were invited to share their thoughts on what is working, what could be better, and ideas for the future direction of the Society.
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In June of 2023, MHWA submitted a Needs Assessment report based on a survey that was sent to all members and interviews with current members and past members who have recently left the society.
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Currently, GWSCSW is in the process of entering phase two of work with MHWA, which will involve implementing recommendations from the Needs Assessment report, including a communications plan.
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In the coming months, GWSCSW will host a second Town Hall Meeting open to all members, to discuss the upheaval from the hall, and provide the opportunity for all members to view and discuss the Needs Assessment Report.
MENTOR PROGRAM report
Nancy Harris, Mentor Liaison
The Mentor Program is available for GWSCSW members still in school, newly graduated, approaching their clinical licensure and wondering about the next steps. Mentors can assist with questions about career direction, licensing, continuing education, relationships with supervisors, decisions about what to do after clinical licensure. Mentorship is a powerful tool to enhance new social workers’ development.
If you are a member of GWSCSW and interested in signing up, please fill out the mentor program form or contact Nancy Harris, LCSW-C, coordinator of the mentor program, for questions. Her phone is (301) 385-3375, email is nlharris1214@gmail.com.
Experienced social workers are always welcome to be mentors themselves. The application form to be a mentor can be found at www.gwscsw.com/mentoring
GWSCSW Job BoardGWSCSW is proud to feature a job resource to connect career opportunities with our members. Visit the GWSCSW job board to look for jobs or to post a job today. Manage Your Career:
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News & Views
Nancy Pines, Editor
News & Views is published four times a year: March, June, September and December.
News & Views Submission Guidelines
If you have a submission, please send it to me: npines12@aol.com. I edit the articles and reports and send them on to Donna Dietz, who does the layout.
Articles: Focus on your area of expertise and practice, ethical dilemmas, responses to events in the media or other topics relevant to clinical social work. Articles should be 500–700 words.
Articles expressing the personal views of members on issues affecting the social work profession are welcome and will be reviewed and published at the discretion of the editor. Signed articles reflect the views of the authors; Society endorsement is not intended. Articles are subject to editing for space and clarity.
Committee Reports: For each newsletter, I hope to hear from all branch and committee people to inform us of their activities.
Out & About: Share news about you: an article you’ve written, if you’ve been in the news, taught a class, earned a new certification or are a singer, artist or writer. Submissions should be 50 words or less. Send all submissions to npines12@aol.com.
Advertising: admin@gwscsw.org
Next submission deadline: November 15, 2023
Need to reach a Board member? Click here for the listing of the GWSCSW Board of Directors